Organization
HOME AGAIN SENIOR LIVING COMMUNITIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRITNEY ROBERTSON (AGENCY DIRECTOR)
(336) 448-0567
Entity
Organization
Contact information
Practice address
1348 WESTGATE CENTER DR, WINSTON SALEM, NC 27103-2984
(336) 448-0567
Mailing address
151 LARCK CREST LN, WINSTON SALEM, NC 27107-8205
(336) 448-0567
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
372600000X
Adult Companion
—
—
3747A0650X
Attendant Care Provider
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HC5125
NC DEPARTMENT OF HEALTH AND HUMAN SERVICES DIVISION OF HEALTH SERVICE REGULATION
NC
Enumeration date
05/10/2019
Last updated
06/07/2019
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